Blessing Hospital
Organization Active NPI Community Based Hospice Care Agency · Quincy, IL
NPI 1932242518 · NPPES record last updated Jan 11, 2022
Key facts
- NPI
- 1932242518
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community Based Hospice Care Agency 251G00000X
- Legal business name
- BLESSING HOSPITAL
- Practice address
- 5011 Oak Street
Quincy, IL 62301 - Phone
- (217) 223-8400
- Fax
- (217) 223-9945
- NPI assigned
- Feb 14, 2007
- Organization subpart
- Yes
- Parent organization (as reported)
- BLESSING HOSPITAL
Authorized official
- Name
- Mr. Timothy A Moore
- Title
- VP, Finance, Cao
- Phone
- (217) 223-8400
Owners & managing parties with NPI records 8
-
William H Dixon, M.D
-
Prashanth Podaralla, M.D.
Other NPIs with the same Medicare PAC ID 20
Corporate family (same tax ID) 34
Facilities with the same owner 20
Practitioners 415
-
Lindsay Marie Demoss, ARNP-BC
-
Angela Riutzel, LCSW
-
Bruce Stoops, D.O.
-
Trista Danielle Neisen, LCSW
-
Amy Lynn Adams, APN, FNP, PMHNP
-
Adesina Adedeji, MD
-
Michelle L Akan, CRNA
-
Ashley E Akhtar, ANP
-
Muhammad A Ali, M.D
-
Rebecca L Allen, LCPC
-
Jessica Elizabeth Althide, APRN, FNP-C
-
William A Andel, ANP
-
Cesar S Arguelles, M.D.
-
John H Arnold, M.D.
-
Deeanna Baird, NP
-
Alexandra Nicole Baker, CRNA
-
Mark Baker, M.D.
-
Amory S Balucating, MS, CCRN, CRNA, APN
-
Teresita Q Banez, CRNA
-
Eleanor Resane Banzon, M.D.
Affiliated clinicians 25
-
Sebastian Baginski, M.D.
-
Michael Edward Connolly, M.D.
-
Lindsay Marie Demoss, ARNP-BC
-
Sarah J Geise, CNP
-
Louis Y Kim, M.D.
-
Tab Anthony Law, DO
-
Taylor J. Moore, DO
-
Behnam Panbehi, M.D.
-
Korhan B Raif, MD
-
Adam M Reyburn, M.D.
-
Bruce Stoops, D.O.
-
Sherri Renee White, MSN, AGNP-C
-
Jill Marie Zwick, APRN
-
Nicolai Zhidkov, MD
Medicare Care Compare: Hospice
- Listed as
- Blessing Hospice
- Ownership
- Non-Profit
- Certified
- Jun 4, 1984
- Medicare certification status
- Active
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in IL
Hospice certification: CCN 141501
- Legal name
- BLESSING HOSPITAL
- Doing business as
- BLESSING HOSPICE
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Jun 4, 1984
- Last certification
- Apr 1, 2017
- Ownership / control type
- Non-Profit - Private
- Organization structure
- Corporation · Non-profit
- Incorporated
- Oct 29, 1873 in IL
- Enrollment address
- 5011 Oak St
Quincy, IL 62305-9131
All disclosed owners & managing parties 16
| Name | Role | Since | Share |
|---|---|---|---|
| Mohamed Ali |
Corporate Director | Oct 16, 2017 | |
| Amy Ruebush |
Corporate Director |
Mar 27, 2025 | |
| Joseph V Meyer |
Corporate Director |
Feb 1, 2026 | |
| Kristi Michelle Gillette |
Contracted Managing Employee |
Aug 1, 2021 | |
| Jennifer Renee Eling |
Contracted Managing Employee |
Nov 1, 2023 | |
| Patrick Gerveler |
Corporate Officer |
Apr 1, 2001 | |
| Corporate Director |
Apr 1, 2001 | ||
| Abby Reich |
Corporate Director |
Jan 1, 2013 | |
| Prashanth Podaralla |
Corporate Director |
Feb 1, 2026 | |
| Blessing Corporate Services, Inc. |
Operational/Managerial Control | Jan 1, 2007 | |
| Mark Baumann |
Corporate Director |
Jan 25, 2024 | |
| Timothy Koontz |
Corporate Director |
May 8, 2006 | |
| Timothy Tranor |
Corporate Officer |
Apr 16, 2025 | |
| Corporate Director |
Apr 16, 2025 | ||
| Operational/Managerial Control |
Apr 16, 2025 | ||
| William H Dixon |
Corporate Director |
Feb 1, 2025 | |
| James Rinella |
Corporate Director |
Jan 25, 2024 | |
| Julie Brink |
Corporate Director | Oct 16, 2017 | |
| Julie Duke |
Corporate Officer |
Dec 1, 2022 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20071129000624 | IL | Part a Provider - Hospice | 3072422534 | Practice locations: Quincy, IL |
| O20140506002220 | IL | Part B Supplier - Hospital Department(S) | 3072422534 |
Receives reassigned benefits from 5 practitioners Practice locations: Warsaw, IL; Quincy, IL; Pittsfield, IL |
National Provider Directory
- Tax ID family
- Blessing Hosp Cardiolog
- Part of
- Blessing Hosp Cardiolog
Locations
671 Wabash Ave
Carthage, IL 62321
Phone (217) 357-2171
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Yes | ||
| Inpatient Hospice | 315D00000X | 0000141 | IL |
Addresses
Primary practice location
5011 Oak Street
Quincy, IL 62301
Mailing address
1005 Broadway St
Quincy, IL 62301-2834
Phone (217) 223-8400
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0123 | Other | IL | BLUE CROSS |
Other names
- Blessing Hospice
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Cobius Healthcare Solutions |
Other providers in Quincy, IL
- Blessing Hospital
- Blessing Hospital
- Blessing Hospital
- Blessing Hospital
- Blessing Hospital
- Blessing Walk-in Clinic LLC
- Blessing Walk-in Clinic LLC
- Blessingcare Corporation
- Brenda Colleen Blickhan
- Carlene T Blickhan
All providers in Quincy, IL · Community Based Hospice Care Agency in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 11, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.